Organization
ST. JAMES PRIMARY CARE
Active
Parent organization
ST. JAMES PRIMARY CARE
Other names
St. James Primary Care, Donaldsonville
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JAMES PRIMARY CARE
Authorized official
ANU P VELLANKI MD (OWNER)
(225) 907-3220
Entity
Organization
Contact information
Practice address
106 MEMORIAL DR, DONALDSONVILLE, LA 70346-4337
(225) 473-0000
Mailing address
PO BOX 419, GRAMERCY, LA 70052-0419
(225) 869-9200
(225) 869-9241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203358
LA
207R00000X
Internal Medicine Physician
12855R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1822141
—
LA
01
—
6650933750
BLUE CROSS
LA
Enumeration date
01/26/2010
Last updated
04/19/2010
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